All new federal regulations must be approved by the Office of Management and Budget (OMB), which is part of the White House.On August 15, Social Security sent three proposed final regulations to OMB. These were new Listings for "Respiratory System Disorders", "Genitourinary Disorders" and "Congenital Disorders That Affect Multiple Body Systems." OMB is supposed to act on proposed rules within 90 days. That time period can be extended by OMB for an extra 30 days or indefinitely by the agency that sent over the proposal. These proposals have now been pending over 90 days. That is unusual. OMB's website indicates that review has been "extended." It doesn't say whether OMB extended the review or whether Social Security extended it. I don't want to read too much into this. I don't recall any of these being controversial.